<?php 

?>
<div id="da-content-area">
    <div class="grid_3">
        <div class="da-panel">
            <div class="da-panel-header">
                <span class="da-panel-title">
                    <img src="">Adicionar Cliente
                </span>
            </div>
            <div class="da-panel-content">
                <form class="da-form">
                    <div class="da-form-inline">
                        <div class="da-form-row">
                            <label>
                                Nome Completo
                                <span class="required">*</span>
                            </label>
                            <div class="da-form-item large">
                                <?php
                                echo $this->Form->input('name', array('label' => false, 'div' => false, 'id' => 'name', 'type' => 'text'));
                                ?>
                            </div>
                        </div>
                        <div class="da-form-row">
                                <label>
                                    Endereço
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('addres', array('label' => false, 'div' => false, 'id' => 'address', 'type' => 'text'));
                                    ?>
                                </div>
                        </div>
                        <div class="da-form-row">
                            <label>
                                Bairro
                                <span class="required">*</span>
                            </label>
                            <div class="da-form-item large">
                                <?php
                                echo $this->Form->input('bairro', array('label' => false, 'div' => false, 'id' => 'bairro', 'type' => 'text'));
                                ?>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    Cidade
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('city', array('label' => false, 'div' => false, 'id' => 'city', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    Estado
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('state', array('label' => false, 'div' => false, 'id' => 'state', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    CEP
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('cep', array('label' => false, 'div' => false, 'id' => 'cep', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    Complemento
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('complement', array('label' => false, 'div' => false, 'id' => 'complement', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    Telefone
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('tell', array('label' => false, 'div' => false, 'id' => 'tell', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    Celular
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('cell', array('label' => false, 'div' => false, 'id' => 'cell', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    Estado Civil
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('cep', array('label' => false, 'div' => false, 'id' => 'cep', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    Nacionalidade
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('complement', array('label' => false, 'div' => false, 'id' => 'complement', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    Data de Nascimento
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('cep', array('label' => false, 'div' => false, 'id' => 'cep', 'type' => 'date'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    Idade
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('complement', array('label' => false, 'div' => false, 'id' => 'complement', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                        </div>
                        <div class="da-form-row">
                            <div class="da-form-col-4-8">
                                <label>
                                    RG
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('name', array('label' => false, 'div' => false, 'id' => 'name', 'type' => 'text'));
                                    ?>
                                </div>
                            </div>
                            <div class="da-form-col-4-8">
                                <label>
                                    CPF
                                    <span class="required">*</span>
                                </label>
                                <div class="da-form-item large">
                                    <?php
                                    echo $this->Form->input('name', array('label' => false, 'div' => false, 'id' => 'name', 'type' => 'text'));
                                    ?>
                            </div>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>